MEDICARE: DR. WALTER W OHARA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	0429755	KS
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	N8699	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P01301598	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1376541789	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376541789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER W OHARA MD

Provider Business Mailing Address
First Line	:	6550 FANNIN ST
Second Line	:	SUITE 1401
City	:	HOUSTON
State	:	TX
Zip	:	77030-2717
Country	:	US
Telephone Number	:	713-441-5200
Fax Number	:	713-793-7428

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST
Second Line	:	SUITE 1401
City	:	HOUSTON
State	:	TX
Zip	:	77030-2717
Country	:	US
Telephone Number	:	713-441-5200
Fax Number	:	713-793-7428

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	10/18/2017

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Directions to “ DR. WALTER W OHARA MD” Practice Location

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